Most Relevant Information
Provider Data
| NPI Number: | 1003555327 |
| Provider Name: | SOPHIA GRAZIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/03/2022 |
| Last Updated: | 06/03/2022 |
Provider Practice Location
2556 S ELIZABETH ST APT 6
SALT LAKE CITY
UT
841062753
Practice Location Phone/Fax
| Phone: | 7082617358 |
| Fax: |
Provider Mailing Location
2556 S ELIZABETH ST APT 6
SALT LAKE CITY
UT
841062753
Provider Mailing Phone/Fax
| Phone: | 7082617358 |
| Fax: |